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Patients' preferences for intensive care.

E H Elpern1, P A Patterson, D Gloskey

  • 1Department of Medicine, Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL.

Critical Care Medicine
|January 1, 1992
PubMed
Summary
This summary is machine-generated.

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Patients generally tolerate intensive care well and desire it for health restoration. However, preferences for intensive care change based on anticipated outcomes, not prior experiences.

Area of Science:

  • Critical Care Medicine
  • Patient Preferences
  • Health Outcomes

Background:

  • Understanding patient preferences for intensive care is crucial for personalized medical decision-making.
  • Previous ICU experiences may influence future treatment desires, but this relationship requires further investigation.

Purpose of the Study:

  • To ascertain patient preferences regarding intensive care unit (ICU) treatment.
  • To assess how recent ICU experiences impact patients' desires for future ICU interventions.

Main Methods:

  • A survey of 84 adult inpatients recently discharged from a medical ICU was conducted.
  • Structured interviews assessed agreement with life-supportive care across four outcome scenarios using a 5-point scale.
  • Patients also reported on their recent ICU experiences.
Keywords:
Empirical ApproachProfessional Patient RelationshipRush-Presbyterian-St. Luke's Medical Center (Chicago, IL)

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Main Results:

  • Despite identifying stressors, 76% of patients reported positive ICU experiences.
  • Preferences for intensive care were strongly linked to perceived outcomes, favoring health restoration over persistent vegetative states.
  • No significant associations were found between ICU preferences and demographic/clinical variables, except for race.

Conclusions:

  • Patients generally tolerate intensive care and value it for achieving health restoration.
  • Desires for intensive care are often adjusted based on the likelihood of less favorable outcomes.
  • Demographic factors and prior ICU experiences do not reliably predict future intensive care preferences.